1. Home
  2. Directory
  3. Oklahoma
  4. Pawnee
  5. Counselor
  6. NPI Profile

STACY LEA WALLACE NCC
NPI 1003249848
Counselor in Pawnee, OK

Active since August 15, 2013
540 ILLINOIS ST, PAWNEE, OK 74058(918) 762-1045 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Lea Wallace Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY LEA WALLACE NCC (NPI 1003249848) is an individual counselor in Pawnee, Oklahoma and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1003249848
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSTACY LEA WALLACECredential: NCC
Location Address540 ILLINOIS STPawnee, OK 74058-2036
Mailing Address540 Illinois StPawnee, OK 74058-2036 · (918) 762-1045
Phone(918) 762-1045
Sole ProprietorNo
Enumeration DateAugust 15, 2013
✔ NPI 1003249848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
540 ILLINOIS ST, Pawnee, OK 74058
Open in Google Maps ↗

Other Names 1

Former Name (1)Stacy Wallace Martin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA COLEMAN
Case Manager/Care Coordinator
540 ILLINOIS ST
PAWNEE, OK 74058
Pawnee County (918) 762-1045
KRISTI MARIE BRYANT
Peer Specialist
540 ILLINOIS ST
PAWNEE, OK 74058
Pawnee County (918) 762-4045
CHI INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
540 ILLINOIS ST
PAWNEE, OK 74058
Pawnee County (918) 762-1045
KERRI JACOBS
Peer Specialist
540 ILLINOIS ST
PAWNEE, OK 74058
Pawnee County (918) 762-1045
DEBORAH WARD
Counselor (Mental Health)
540 ILLINOIS ST
PAWNEE, OK 74058
Pawnee County (918) 698-5203
BELINDA STUBBLEFIELD
Counselor
540 ILLINOIS ST
PAWNEE, OK 74058
Pawnee County (918) 382-7300
CAMRON SHEKARFOROOSH
Counselor
540 ILLINOIS ST
PAWNEE, OK 74058
Pawnee County (918) 762-1045
MRS. LAURA AFTON EDENS R.N.
Registered Nurse
540 ILLINOIS ST
PAWNEE, OK 74058
Pawnee County (918) 762-1045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Wallace's NPI number?

The NPI number for Stacy Wallace is 1003249848. It was assigned to this individual provider in the NPPES registry on August 15, 2013. The provider is also known as Stacy Wallace Martin.

Where is Stacy Wallace located?

Stacy Wallace practices at 540 Illinois St, Pawnee, OK 74058. The listed phone number is (918) 762-1045.

What is Stacy Wallace's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Stacy Wallace accept?

Health plans from Oscar Insurance Company list Stacy Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Wallace was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.